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IRS/SSA Data for Tax Year YYYY EIN 99-9999999 Employer Name Employer Name Soc. Security Wages Amount Reported on W-3 Amount Processed by IRS from Forms W-2 Difference Between IRS and SSA Processed Amounts Medicare Wages/Tips 999 999. 999999999-99-MMDDYY SSA-97-SM 04-11 1. I did not file Forms W-2 with SSA. I am now taking the following action check one Enclosed is the original Copy A of paper Forms W-2 and W-3 or Sending SSA an electronic file. 2. I filed Forms W-2 under the EIN for the TY...
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